Organization
EVAN A MEHLMAN, PA
Active
Other names
Evan A. Mehlman, Psy.D. and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN ADAM MEHLMAN PSY.D. (PRESIDENT)
(954) 384-1117
Entity
Organization
Contact information
Practice address
2883 EXECUTIVE PARK DR, SUITE 102, WESTON, FL 33331-3662
(954) 384-1117
(954) 384-1163
Mailing address
2883 EXECUTIVE PARK DR, SUITE 102, WESTON, FL 33331-3662
(954) 384-1117
(954) 384-1163
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
FL PY 7206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90122
BLUE CROSS BLUE SHIELD FLORIDA
FL
Enumeration date
12/18/2012
Last updated
12/18/2012
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